Cultural Influence on Shared Decision-Making in Mental Health Care

Recent research from the University of Nottingham has highlighted the significant role that cultural background plays in shaping how mental health professionals engage in shared decision-making (SDM) with patients. SDM is a collaborative process where healthcare providers and patients work together to determine the most appropriate treatment options, considering both medical evidence and the patient's personal values and preferences. In mental health settings, effective SDM can lead to improved patient outcomes, enhanced quality of life, reduced hospital admissions, and strengthened patient rights.

The study involved surveying 751 psychiatrists and psychiatry trainees across 38 European countries. The researchers examined their preferences for involving patients in treatment decisions and analyzed these preferences through the lens of Hofstede’s six cultural dimensions, a widely recognized model for understanding national cultural differences.

Findings indicated that psychiatrists practicing in countries with a high regard for individualism and indulgence—values associated with personal choice and enjoyment—are more inclined to practice SDM. Conversely, in cultures characterized by high power distance and hierarchical structures, psychiatrists tend to prefer a more paternalistic approach, less involving patients in decision-making.

Dr. Yasuhiro Kotera, an associate professor at Nottingham, explained, "This study underscores how culture influences healthcare attitudes and practices. While cultural values are influential, practical factors such as healthcare policies and resource availability also significantly impact SDM implementation."

The research suggests that for SDM to be effectively integrated into mental health care globally, training and policies should be tailored to respect local cultural nuances. Understanding both cultural and systemic factors can facilitate more collaborative, respectful mental health services across diverse settings.

Source: https://medicalxpress.com/news/2025-08-culture-mental-health-decision.html